Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohammad Mahmoud Ballout, MD

Individual provider Family Medicine Physician · NPI 1235802182

Mohammad Mahmoud Ballout, MD is a General Practice in Pontiac, Michigan. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5332
Fax: (313) 998-2171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301514355 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301514355 (MI)

Record details

NPI number1235802182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address50 N Perry St, Pontiac, MI 48342-2217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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